Riad K. Mortada, Md, Pc
LBN: Riad K. Mortada, Md, Pc
Riad K. Mortada, Md, Pc is an health care organization with primary practice located at 420 Main St Ste # 14, Walpole MA 02081-3753. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Riad K. Mortada, Md, Pc can be contacted via phone (508) 660-2241, or through Mordata, Riad K via phone (508) 660-2241.
Contact Information
Primary practice address
420 Main St Ste # 14
Walpole MA 02081-3753
Phone: (508) 660-2241
Fax: (508) 660-2914
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1629144407 |
|---|---|
| LBN Legal business name | Riad K. Mortada, Md, Pc |
| DBA Doing business as | |
| Authorized official | Mordata, Riad K Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 25th, 2006 |
| Last updated | Apr 20th, 2008 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629144407 | NPPES |
| Massachusetts | Other | 645173 | TUFTS HEALTH PLAN |
| Massachusetts | Other | M17091 | TUFTS HEALTH PLAN |
| Massachusetts | MEDICAID | 9784691 | TUFTS HEALTH PLAN |
| Massachusetts | Other | RR34 | TUFTS HEALTH PLAN |
| Massachusetts | Other | 04-02110 | TUFTS HEALTH PLAN |
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